SUES Membership Subscription Form 2024-25 – Southport University Extension Society

For course enrolment, please see the course enrolment form under the ‘Our Programme’ Menu.

I/we apply for membership of SUES for the year commencing 1st September 2024.

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Name 1

First

Last

Name 2

First

Last

Optional

Address

Email Address

Phone Number(s) (preferably mobile)

I/we have transferred the sum of:

£15 per person

Via

PREFERRED: bank transfer (Account name: Southport University Extension Society | Sort Code: 40-42-30 | Account no: 31402692)
Cheque (payable to Southport University Extension Society)

Bank transfer is our preferred method of payment as it does not incur bank charges. If you are unable to use bank transfer, SUES can accept payment by cheque. Please do not send cash.

Privacy Information

I/we agree that SUES may hold the above information, in accordance with its data protection policy.
I/we agree to receive communications from SUES by email.

Your personal details will be stored and processed in accordance with the UK General Data Protection Regulation (GDPR). Further information on this and your rights is provided in the Privacy Notice (found under the How to Join menu). Your information will be used to provide you with membership services and will not be shared with third parties.